Prescription of Physical Exercise has become a professional challenge, involving professionals towards interdisciplinarity and the need of improving the elderly’s functional fitness screening. The Senior fitness test (1) has been broadly used to test cardiovascular and muscular fitness under a functional approach, providing qualified and updated data about Elderly (2). However, some similarities have been found between tests like the Six-Minute Walk Test (6MWT) and the Two-Minute Step Test (2MST), both aimed at cardiovascular testing (3-5). Since multicomponent functional training programs have shown to improve strength and balance more than cardiovascular fitness, this study aims to investigate the level of association between these two tests in neuromuscular-oriented programs, and whether they should coexist in their fitness screening.51 women and 8 men active elderly (72.02±5.22 years) undergoing a nine-month multi-component and cognitive functional-training program, volunteered to participate in this cross-sectional study, conducted in the second part of the program. Body composition (Tanita BC-545N: 68.30±8.98 Kg; 39.35±5.22 % Fat; 39.33±6.72 Kg of Muscle Mass) and Cardiovascular Fitness were measured (2MST: 64.61±19.88 steps; 6MWT: 583.47±55.72 m), in two testing sessions, counterbalanced, with 48 h of recovery. Participants were encouraged to play their best during testing. A Spearman’s Rho Non Parametric correlation analysis was conducted, since data did not meet the normality assumption (Shapiro-Wilk’s W test). Due to time-length differences between tests, the two first minutes of the 6MWT were considered, at least in one randomized mixed subgroup (n=17; 206.03±19.55 m).Table 1 shows a medium correlation between the 6MWT and the 2MST (r=0.37; p<0.05) which gets lost when associated to the small sample accounted in the 6MWT_2min. Both, 6MWT and 2MST show a negative, medium to large, very significant correlation with age (p<0.05), bigger for 6MWT (r=-0.66 vs r=-45), but there is no association between body composition and the cardiovascular outputs. The 6MWT_2min is only associated to the 6MWT, although very significant and strongly (r=0.93).Our results suggest the presence of different mechanisms underlying the performance in the 6MWT and the 2MST despite sharing cardiovascular components. Strength and balance gains may be responsible of a better performance in the 2MST in active Elderly, highlighting its neuromuscular content. The absence of association between muscle mass and 2MST triggers the importance of coordination. Fitness testing should therefore include both tests, although larger studies may elucidate if the stronger association between age and the 6MWT is due to a higher N in our test, or the consequence of functional training.
Ageing and Degeneration (Edinburgh, UK) (2015) Proc Physiol Soc 33, PC32
Poster Communications: Step-test vs. six-minute walk test among active elderly undergoing functional training
C. Blasco-Lafarga1,2, N. Blasco-Lafarga3, A. Cordellat2, A. Roldan2, G. Sanchis-Soler1,2
1. University of Valencia, Valencia, Spain. 2. Training for Senior, Physical Activity promotion and researching assistance Association, Valencia, Spain. 3. Primary Health Centre in Clinic-Hospital area, Valencia, Valencia, Spain.
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